Benign Recurrent Sixth (Abducens) Nerve Palsy following Measles-Mumps-Rubella Vaccination

Benign, isolated, recurrent sixth nerve palsy is rare in children. It may be associated with febrile viral illness and vaccination in exceptional circumstances although this is a diagnosis of exclusion. Here, we present the case of a 2-year-old Caucasian girl who developed recurrent 6th nerve palsy...

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Main Authors: Areti Bourtoulamaiou, Sohraab Yadav, Harish Nayak
Format: Article
Language:English
Published: Wiley 2015-01-01
Series:Case Reports in Pediatrics
Online Access:http://dx.doi.org/10.1155/2015/734516
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author Areti Bourtoulamaiou
Sohraab Yadav
Harish Nayak
author_facet Areti Bourtoulamaiou
Sohraab Yadav
Harish Nayak
author_sort Areti Bourtoulamaiou
collection DOAJ
description Benign, isolated, recurrent sixth nerve palsy is rare in children. It may be associated with febrile viral illness and vaccination in exceptional circumstances although this is a diagnosis of exclusion. Here, we present the case of a 2-year-old Caucasian girl who developed recurrent 6th nerve palsy following vaccination with the measles-mumps-rubella (MMR) vaccine. No underlying pathology was identified following extensive investigations and followup. There is limited data available on the pathophysiology of vaccination-related nerve palsies. As with all previous reports of cranial nerve palsies following vaccination, there was complete resolution in this case. Long term followup with repeated physical examination and investigations is warranted to avoid missing severe pathology and operating unnecessarily.
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series Case Reports in Pediatrics
spelling doaj-art-c9d1e92cd605475c9e634d752759bc642025-02-03T06:05:19ZengWileyCase Reports in Pediatrics2090-68032090-68112015-01-01201510.1155/2015/734516734516Benign Recurrent Sixth (Abducens) Nerve Palsy following Measles-Mumps-Rubella VaccinationAreti Bourtoulamaiou0Sohraab Yadav1Harish Nayak2Alder Hey Children’s Hospital, Eaton Road, Liverpool, Merseyside L12 2AP, UKAlder Hey Children’s Hospital, Eaton Road, Liverpool, Merseyside L12 2AP, UKAlder Hey Children’s Hospital, Eaton Road, Liverpool, Merseyside L12 2AP, UKBenign, isolated, recurrent sixth nerve palsy is rare in children. It may be associated with febrile viral illness and vaccination in exceptional circumstances although this is a diagnosis of exclusion. Here, we present the case of a 2-year-old Caucasian girl who developed recurrent 6th nerve palsy following vaccination with the measles-mumps-rubella (MMR) vaccine. No underlying pathology was identified following extensive investigations and followup. There is limited data available on the pathophysiology of vaccination-related nerve palsies. As with all previous reports of cranial nerve palsies following vaccination, there was complete resolution in this case. Long term followup with repeated physical examination and investigations is warranted to avoid missing severe pathology and operating unnecessarily.http://dx.doi.org/10.1155/2015/734516
spellingShingle Areti Bourtoulamaiou
Sohraab Yadav
Harish Nayak
Benign Recurrent Sixth (Abducens) Nerve Palsy following Measles-Mumps-Rubella Vaccination
Case Reports in Pediatrics
title Benign Recurrent Sixth (Abducens) Nerve Palsy following Measles-Mumps-Rubella Vaccination
title_full Benign Recurrent Sixth (Abducens) Nerve Palsy following Measles-Mumps-Rubella Vaccination
title_fullStr Benign Recurrent Sixth (Abducens) Nerve Palsy following Measles-Mumps-Rubella Vaccination
title_full_unstemmed Benign Recurrent Sixth (Abducens) Nerve Palsy following Measles-Mumps-Rubella Vaccination
title_short Benign Recurrent Sixth (Abducens) Nerve Palsy following Measles-Mumps-Rubella Vaccination
title_sort benign recurrent sixth abducens nerve palsy following measles mumps rubella vaccination
url http://dx.doi.org/10.1155/2015/734516
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